Aesthetic Plastic Surgery最新文献

{"title":"Response to the Comments on \"The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation\".","authors":"Mert Demirel, Mert Ersan","doi":"10.1007/s00266-025-05330-9","DOIUrl":"https://doi.org/10.1007/s00266-025-05330-9","url":null,"abstract":"<p><p>This response addresses the comments by Arif et al. on our article, \"The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation.\" We acknowledge the limitations raised regarding patient demographics, follow-up duration, and comorbidities and agree that larger and more diverse cohorts are needed to strengthen the evidence. We also emphasize the importance of objective assessments, noting our ongoing prospective study incorporating MRI at 12 months to evaluate inferior flap viability. Additionally, we highlight the need to assess functional outcomes such as lactation and breast sensation in future research. We appreciate these constructive remarks, which underscore the importance of extended follow-up and collaborative investigations to validate and refine the Chestnut Technique as a reliable method for enhancing implant stability.No Level Assigned This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Capsule Thickness and Clinical Capsular Contracture: A Systematic Review and Meta-Analysis.","authors":"Morvarid Mehdizadeh, Tristan Furnary, Jian H Li, Reinhard M Knerr, Ashley Brunson, Jose Foppiani, Daniela Lee, Maria J Escobar-Domingo, Angelica Hernandez Alvarez, Samuel J Lin","doi":"10.1007/s00266-025-05333-6","DOIUrl":"https://doi.org/10.1007/s00266-025-05333-6","url":null,"abstract":"<p><strong>Background: </strong>Capsular contracture is a leading cause of morbidity after breast augmentation and often necessitates reoperation. This study analyzes the association between breast capsule thickness and severity of capsular contracture, distinguishing benign from pathological cases.</p><p><strong>Methods: </strong>Literature review was conducted across PubMed, Medline, and Web of Science according to PRISMA guidelines, for articles published between 2014 and 2024. Data extracted included author, year, sample size, age, implant type, capsule thickness, capsular contracture presence, and Baker score. A permutation test determined a minimum thickness cutoff associated with capsular contracture. Statistical meta-analysis, permutation analysis, and univariate Poisson regression were conducted using R 4.4.1 (Boston, MA).</p><p><strong>Results: </strong>Of 649 publications, 12 met inclusion criteria, examining 590 breast samples from 403 patients. The mean capsular thickness was 708 µm. The capsular contracture rate was 47.6% of breasts and in 69.7% of patients. Meta-regression of 534 samples across nine studies including 25 unique patient groupings showed a pooled capsular contracture rate in breasts of 58.2% (95% CI: 28.2-83.1). Capsular thicknesses in the highest (OR 23.99, 95% CI: 13.31-45.10, p < 0.001) and middle (OR 16.22, 95% CI: 9.95-27.16, p < 0.001) tertiles had higher odds of contracture compared to the lowest tertile. Univariate Poisson regression showed a 0.069% (95% CI: 0.050-0.087, p < 0.001) increase in contracture per micrometer of capsule thickness. The minimum significant cutoff was 601.5 µm (p < 0.05), below which studies had significantly lower capsular contracture rates.</p><p><strong>Conclusions: </strong>Capsule thickness correlates with capsular contracture, suggesting a measurable predictor for pathological contracture.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orbicularis Muscle Folding Technique for Augmenting and Extra Support of Thin Anterior Lamella in Transcutaneous Lower Blepharoplasty.","authors":"Hawre Abdulstar Hassan, Vyan Hiwa Mohammed Raouf","doi":"10.1007/s00266-025-05304-x","DOIUrl":"https://doi.org/10.1007/s00266-025-05304-x","url":null,"abstract":"<p><strong>Background: </strong>The orbicularis oculi muscle folding (OMF) is an innovative surgical approach in lower blepharoplasty that enhances the appearance of the lower eyelids.</p><p><strong>Objectives: </strong>To evaluate the use of OMF for auto augmentation of eyelid hollowness and to support the thin anterior lamella by folding the excess muscle upon itself rather than excising it for cosmetic purposes.</p><p><strong>Methods: </strong>This single-arm interventional study was conducted in Sulaimaniyah, Iraq, from November 1st, 2021, to March 25th, 2023. Twenty patients, representing both genders, underwent lower blepharoplasty using the OMF technique.</p><p><strong>Results: </strong>The mean age of the patients was 46.5 ± 2.1 years; most were females (90%). The average follow-up period was 14.55 ± 4.4 months. Most patients underwent bilateral surgery (95%) under local anesthesia (75%). Postoperatively, most patients were satisfied, and there were no unwanted complications; of the patients, 95% reported good results, while one patient (5.0%) reported fair results (p<0.001), and only 15% had canthopexy.</p><p><strong>Conclusions: </strong>The OMF technique provided the lower eyelid with a natural, tight, and fuller appearance, effectively addressing issues such as lower lid fat bulging or hollowness due to thin anterior lamella. This was achieved by supporting the anterior lamella with the folded muscle flap and its filling effect.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors 43 assign a level of evidence to each article. For a full 44 description of these Evidence-Based Medicine ratings, 45 please refer to the Table of Contents or the online 46 Instructions to Authors http://www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter on Prophylactic Tranexamic Acid Use in Orthognathic Surgery: A Systematic Review and Meta-analysis.","authors":"Wei Li, Xia Li","doi":"10.1007/s00266-025-05372-z","DOIUrl":"https://doi.org/10.1007/s00266-025-05372-z","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining Abdominoplasty and Breast Procedures Under Tumescent Local and Spinal Anesthesia: A Retrospective Study.","authors":"Matilde Tettamanzi, Federico Ziani, Giovanni Arrica, Edoardo Filigheddu, Claudia Trignano, Corrado Rubino, Emilio Trignano","doi":"10.1007/s00266-025-05386-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05386-7","url":null,"abstract":"<p><strong>Background: </strong>The \"Mommy Makeover\" is a combined plastic surgery procedure designed to address aesthetic concerns commonly experienced by women after pregnancy and breastfeeding. This procedure typically includes abdominoplasty and breast surgery. Traditionally, these surgeries are performed under general anesthesia, but the use of tumescent local anesthesia (TLA) combined with spinal anesthesia presents several advantages, including enhanced safety, effective pain management, and reduced postoperative complications.</p><p><strong>Methods: </strong>This study analyzes the outcomes of 62 patients who underwent Mommy Makeover surgery with TLA and spinal anesthesia from 2011 to 2023. The TLA solution was composed of 25 mL of 2% lidocaine, 8 mEq of sodium bicarbonate, and 1 mL of epinephrine (1 mg/mL) diluted in 1000 mL of 0.9% saline solution. Spinal anesthesia was administered at the L1-L2 intervertebral level using 15-18 mg of ropivacaine in a 4 mL solution.</p><p><strong>Results: </strong>The patient ages ranged from 25 to 74 years (mean age 47 years, standard deviation 10.236), and BMI ranged from 24 to 35 (mean BMI 29.5, standard deviation 2.379). A total of 62 abdominoplasties were performed, 61 were horizontal (5 of these included hernia repair), and 1 was vertical. Breast procedures included 10 augmentation mammaplasties, 5 mastopexies without implants, and 30 mastopexies with implants, and 17 reduction mammaplasties. Additionally, 22 liposuction procedures of the flanks were performed. Major complications occurred in 14.5% of patients, including 1 case of hemorrhage requiring reintervention, 5 hematomas, and 3 seromas. Minor complications included 6 cases of abdominal wound dehiscence and 4 cases of breast wound dehiscence.</p><p><strong>Conclusions: </strong>Tumescent local anesthesia combined with spinal anesthesia is a highly effective and safe method for performing combined abdominal and breast surgery in the context of a \"Mommy Makeover.\" This technique provides significant benefits, including precise pain management, minimal postoperative side effects, and enhanced patient and surgeon satisfaction.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145353429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Scar-suppressing Efficiency of Three Sutures with Different Degradation Rates: A Prospective Split-Scar Study.","authors":"Xinxi Zhu, Yifan Qiao, Wenbo Liu, Jinyuan Zhu, Hailong Shen, Yuanmei Huang, Rongguang Lai, Gengrui Nan, Maoguo Shu, Jing Jia","doi":"10.1007/s00266-025-05288-8","DOIUrl":"https://doi.org/10.1007/s00266-025-05288-8","url":null,"abstract":"<p><strong>Background: </strong>Our previous study demonstrated that prolonged tension reduction results in satisfactory scar suppression during modified intradermal suturing. The type of suture used in intradermal sutures is crucial for tension preservation, wherein suture degradation results in tension reduction. However, evidence revealing the optimal suture to confront local tension for a prolonged period of time is lacking.</p><p><strong>Objective: </strong>To compare the aesthetic outcomes associated with three sutures: polyglactin acid and polydioxanone, which are absorbable sutures with tension-maintaining times of 1 and 3 months, respectively, and the nonabsorbable suture polyester.</p><p><strong>Methods: </strong>We evenly divided a hypogastric incision into three segments before randomly stitching them with three different sutures. After 1, 3 and 6 months, the aesthetic outcomes of the scars brought by each suture were evaluated by scar assessment scales.</p><p><strong>Results: </strong>Polyglactin acid had the worst aesthetic outcome at 1, 3 and 6 months. Polydioxanone and polyester had similar aesthetic outcomes at 1 and 3 months. However, at 6 months, polyester showed unsatisfying scar inhibition compared to that of polydioxanone. To explore the underlying mechanism, we repeated the above process in mice and found enhanced inflammation in tissues stitched using polyester. The inflammation neutralized the anti-scarring efficiency of reduced tension.</p><p><strong>Conclusion: </strong>Our study revealed that prolonged reduction in local tension plays an important role in inhibiting scarring, and the ability of sutures to induce local inflammation cannot be ignored.</p><p><strong>Level of evidence ii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: \"Elliptical Lipoaspirate Activation Versus Coleman Technique: A Randomized Double-Blinded Clinical Trial on Adipose Tissue Grafting for Scar Treatment\".","authors":"Xiaowei Liu, Yang Wang","doi":"10.1007/s00266-025-05379-6","DOIUrl":"https://doi.org/10.1007/s00266-025-05379-6","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145353432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mastopexy and the \"Antigravity Flap\".","authors":"Eric Swanson","doi":"10.1007/s00266-025-05376-9","DOIUrl":"https://doi.org/10.1007/s00266-025-05376-9","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Analysis of Severe Ophthalmologic Complications Following Plastic and Cosmetic Procedures: Insights and Experience Sharing.","authors":"Xin Quan, Pai Peng, Yue Yin, Ping Xue, Xing Fan, Wensen Xia, Qing Yang","doi":"10.1007/s00266-025-05340-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05340-7","url":null,"abstract":"<p><strong>Backgrounds: </strong>Although severe ocular complications following plastic and cosmetic surgeries or treatments are relatively uncommon, early diagnosis and intervention are essential for improving prognosis. This study investigates optimized strategies for the effective identification and management of these complications.</p><p><strong>Methods: </strong>A retrospective study was conducted on 11 patients (10 female, 1male, mean age: 38.5) with severe ocular complications after plastic and aesthetic surgery or procedures treated at a single referral center between January 2014 and December 2024. Types of ocular complications and their etiologies, early diagnosis and management experiences were analyzed and summarized.</p><p><strong>Results: </strong>1 case of irreversible vision loss from ophthalmic artery occlusion after nasal augmentation with hyaluronic acid. 1 case of visual impairment from ophthalmic artery occlusion after autologous fat filler in the forehead. Delayed optic nerve injury with visual impairment after blepharoplasty in 2 cases. Unilateral vision loss after forehead fat accumulation correction in 1 case. Corneal damage causing visual impairment after upper eyelid ptosis surgery in 2 cases. Ocular micro-embolism and skin necrosis after hyaluronic acid filler in the forehead in 2 cases, without vision loss. Unilateral ptosis with reversible vision loss after hyaluronic acid filler in the forehead in 1 case, resolved with hyaluronidase. Corneal chemical burns and vision issues from iodophor entering the eye during eyelid blepharoplasty in 1 case, following treatment with epidermal growth factor, there was no significant improvement in vision. A flowchart for the prevention and management of severe ocular complications was developed and the risk factor for each case of severe complication was summarized.</p><p><strong>Conclusion: </strong>Severe ocular complications from plastic and aesthetic surgeries are uncommon and need specialized knowledge for early detection and treatment to improve outcomes. Without this, they can cause irreversible damage or be life-threatening. Plastic and cosmetic surgeons must be well-versed in recognizing, evaluating, and treating rare but potentially serious ocular complications following surgeries or treatments.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation Large Language Models' Time Dependent Consistency in Aesthetic Surgery Consultations and Comparison of Their Performance Across Different Clinical Domains.","authors":"Munur Selcuk Kendir, Muaz Zuhurlu","doi":"10.1007/s00266-025-05308-7","DOIUrl":"https://doi.org/10.1007/s00266-025-05308-7","url":null,"abstract":"<p><strong>Background: </strong>The integration of large language models (LLM) into plastic and aesthetic surgery has shown promise. However, research comparing different LLMs in handling clinical scenarios and their temporal consistency remains limited. This study evaluated the performances of ChatGPT-4o, Gemini 1.5 Pro and Claude 3.5 Sonnet in aesthetic surgery scenarios. The objectives were to compare their overall performance, analyze reliability in complicated and uncomplicated cases, assess temporal consistency, evaluate performance across five clinical domains: preoperative cautions, postoperative care, holistic approach, algorithmic approach, and surgical planning.</p><p><strong>Methods: </strong>Twenty-four case scenarios (12 complicated, 12 uncomplicated) were input into the LLMs at three time points (T1, T2, T3) over two weeks. Three blinded board-certified plastic surgeons evaluated responses using a 5-point Likert scale. Statistical analyses were applied.</p><p><strong>Results: </strong>Chat GPT-4 achieved the highest mean score (4.92), outperforming Gemini 1.5 Pro (3.62) and Claude 3.5 Sonnet (3.21) (p < 0.001). It performed consistently across complicated (4.87) and uncomplicated cases (4.96) (p > 0.05) and demonstrated temporal stability (p > 0.05). Gemini 1.5 Pro showed temporal consistency for complicated cases (p > 0.05), but not in uncomplicated cases. Claude 3.5 Sonnet exhibited significant temporal inconsistencies (p < 0.05). In the domain specific analyzes, GPT-4 was superior to others. Claude 3.5 Sonnet had the lowest scores in most domains, except algorithmic approach, where it outperformed Gemini (4.4 vs. 4.1, p < 0.05).</p><p><strong>Conclusions: </strong>LLMs could be a promising tool for supporting surgical decision-making. Future research should aim to enhance LLM reliability and validate its real-world applications.</p><p><strong>Level of evidence i: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}